President Biden’s announcement that the Covid-19 public health emergency (PHE) will end on May 11 will have a significant impact on older adults. Some changes will be immediate, others won’t occur for nearly two years. Some may improve care for older adults, others could cost seniors more money and end some important benefits they received during the pandemic. Biden’s decision [...]
The Covid-19 pandemic shined a light on how hard it is for long-term care facilities such as nursing homes and assisted living facilities to balance residents’ health risks with their desire for independence and autonomy. A few have found the secret sauce. Most have not. A new study by the RAND Corporation, a California research firm, shows how facilities can [...]
What will last Tuesday’s election mean for older adults and their families? A slim Democratic majority in the Senate combined with what is likely to be narrow Republican control of the House likely means no new legislative initiatives will pass Congress in 2023. The Biden Administration’s ambitious plan to support frail older adults and their families is dead, at least [...]
We know how the Covid-19 pandemic killed older adults. We are still learning about its other effects on seniors. And the picture is both complex and often difficult to look at. A new study by Michael Barnett of the Harvard T. H. Chan School of Public Health and colleagues (paywall) finds that residents of nursing homes with active cases of [...]
Imagine, for a moment, a functioning, well-developed system for improving the lives of frail older adults. Imagine that, instead of our current chaotic, dangerous, and needlessly expensive patchwork of care for seniors, the US had a well-coordinated care model that leverages and supports paid aides, family caregivers, safe and appropriate housing, and new technology. And imagine a system that makes [...]
One would have thought that after more than 750,000 Covid-19 related deaths among older adults in the US and more than 200,000 deaths among residents and staffs of long-term care facilities that Congress would act to improve the nation’s long-term care system. One would have been wrong. Except for including about $12 billion in federal funds to temporarily expand Medicaid’s [...]
It has become popular among many Democrats to call for investigations of nursing home ownership by private equity firms. But industry experts tell me that, increasingly, big investors in senior services are abandoning nursing facilities in favor of the far more lucrative home health business and, in some cases, private-pay senior housing. And the shift isn’t just happening with private [...]
A blue-ribbon panel of the National Academies of Science, Engineering, and Medicine has issued a scathing report on the state of nursing homes in the US. Operators, owners, regulators, and payors all are failing patients and residents, the report said. “The way in which the United States finances, delivers, and regulates care in nursing home settings is ineffective, inefficient, fragmented, [...]
The Biden Administration has proposed a wide range of changes in the regulation of nursing homes. They include efforts to require minimum staffing levels; limit shared rooms; enhance inspections, penalties, and transparency; and crack down on owners with a history of poor quality. The plan also would expand a technical assistance program to help operators improve their quality of care. [...]
By now, you’ve probably heard about the desperate shortage of nurses and aides in nursing homes and long-term care facilities. This workforce crisis not only hurts their residents, it also is creating severe backups in hospitals, putting both patients and the facilities themselves at risk and increasing health care costs. As those staffing shortages course through the entire health care [...]